Superficial granulomatous pyoderma of the leg improved after conservative management with Unna boot and intralesional steroid injections

Superficial granulomatous pyoderma (SGP) is a rare condition that some regard as a variant of pyoderma gangrenosum (PG) given their clinical similarities; however, SGP is distinct in its cutaneous presentation, histology, lack of underlying disease, and prognosis. Treatment options have ranged from oral antibiotics to oral and intralesional steroids, immunomodulatory agents, and intravenous immunoglobulin (IVIG), among others. We describe a case of long-standing SGP that responded to conservative management with Unna boot and intralesional steroid injections.